Non‐Apnea Sleep Disorder Increases the Risk of Periodontal Disease: A Retrospective Population‐Based Cohort Study

Background: The aim of this study is to determine whether patients with a non‐apnea sleep disorder (NA‐SD) and comorbidity have an increased risk of periodontal disease. Methods: Patients newly diagnosed with NA‐SDs in 1997 to 2010 were identified as the study cohort from the Taiwan National Health...

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Veröffentlicht in:Journal of periodontology (1970) 2014-04, Vol.85 (4), p.e65-e71
Hauptverfasser: Lee, Chun‐Feng, Lin, Ming‐Chia, Lin, Cheng‐Li, Yen, Chia‐Ming, Lin, Kuan‐Yu, Chang, Yen‐Jung, Kao, Chia‐Hung
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container_end_page e71
container_issue 4
container_start_page e65
container_title Journal of periodontology (1970)
container_volume 85
creator Lee, Chun‐Feng
Lin, Ming‐Chia
Lin, Cheng‐Li
Yen, Chia‐Ming
Lin, Kuan‐Yu
Chang, Yen‐Jung
Kao, Chia‐Hung
description Background: The aim of this study is to determine whether patients with a non‐apnea sleep disorder (NA‐SD) and comorbidity have an increased risk of periodontal disease. Methods: Patients newly diagnosed with NA‐SDs in 1997 to 2010 were identified as the study cohort from the Taiwan National Health Insurance database. For each patient with NA‐SD, two matched controls without sleep disorders were randomly selected for comparison. Results: The overall incidence rate ratio of severe periodontal diseases was 39% higher in the NA‐SD cohort than in the comparison cohort (7.93 versus 5.69 per 1,000 person‐years), with an adjusted hazard ratio (HR) of 1.36 (95% confidence interval [CI]: 1.30 to 1.43). The effect of NA‐SD on the risk of severe periodontal diseases was higher in young and middle‐aged patients compared with patients >65 years of age (
doi_str_mv 10.1902/jop.2013.130284
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Methods: Patients newly diagnosed with NA‐SDs in 1997 to 2010 were identified as the study cohort from the Taiwan National Health Insurance database. For each patient with NA‐SD, two matched controls without sleep disorders were randomly selected for comparison. Results: The overall incidence rate ratio of severe periodontal diseases was 39% higher in the NA‐SD cohort than in the comparison cohort (7.93 versus 5.69 per 1,000 person‐years), with an adjusted hazard ratio (HR) of 1.36 (95% confidence interval [CI]: 1.30 to 1.43). The effect of NA‐SD on the risk of severe periodontal diseases was higher in young and middle‐aged patients compared with patients &gt;65 years of age (&lt;35 years of age, HR: 1.13, 95% CI: 1.04 to 1.24; 35 to 49 years of age, HR: 1.73, 95% CI: 1.61 to 1.86; 50 to 64 years of age, HR: 1.69, 95% CI: 1.58 to 1.81; ≥65, HR: [reference] 1.0). Conclusion: NA‐SD might increase the risk of periodontal disease.</description><identifier>ISSN: 0022-3492</identifier><identifier>EISSN: 1943-3670</identifier><identifier>DOI: 10.1902/jop.2013.130284</identifier><identifier>PMID: 24059676</identifier><language>eng</language><publisher>United States: American Academy of Periodontology</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Case-Control Studies ; Cohort Studies ; Comorbidity ; Coronary Artery Disease - epidemiology ; Dentistry ; Diabetes Mellitus - epidemiology ; Female ; Follow-Up Studies ; Heart Failure - epidemiology ; Humans ; Hyperlipidemias - epidemiology ; Hypertension - epidemiology ; Incidence ; Male ; Middle Aged ; national health programs ; non‐apnea sleep syndrome ; periodontal disease ; Periodontal Diseases - epidemiology ; Renal Insufficiency, Chronic - epidemiology ; Retrospective Studies ; Risk Factors ; Sex Factors ; sleep disorders ; Sleep Wake Disorders - epidemiology ; Taiwan - epidemiology ; Young Adult</subject><ispartof>Journal of periodontology (1970), 2014-04, Vol.85 (4), p.e65-e71</ispartof><rights>2014 American Academy of Periodontology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3425-7c63e58bb53d75dd891466bb02577d3c8ce97a6732d0a5563d4982ba4be074803</citedby><cites>FETCH-LOGICAL-c3425-7c63e58bb53d75dd891466bb02577d3c8ce97a6732d0a5563d4982ba4be074803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1902%2Fjop.2013.130284$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1902%2Fjop.2013.130284$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24059676$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Chun‐Feng</creatorcontrib><creatorcontrib>Lin, Ming‐Chia</creatorcontrib><creatorcontrib>Lin, Cheng‐Li</creatorcontrib><creatorcontrib>Yen, Chia‐Ming</creatorcontrib><creatorcontrib>Lin, Kuan‐Yu</creatorcontrib><creatorcontrib>Chang, Yen‐Jung</creatorcontrib><creatorcontrib>Kao, Chia‐Hung</creatorcontrib><title>Non‐Apnea Sleep Disorder Increases the Risk of Periodontal Disease: A Retrospective Population‐Based Cohort Study</title><title>Journal of periodontology (1970)</title><addtitle>J Periodontol</addtitle><description>Background: The aim of this study is to determine whether patients with a non‐apnea sleep disorder (NA‐SD) and comorbidity have an increased risk of periodontal disease. Methods: Patients newly diagnosed with NA‐SDs in 1997 to 2010 were identified as the study cohort from the Taiwan National Health Insurance database. For each patient with NA‐SD, two matched controls without sleep disorders were randomly selected for comparison. Results: The overall incidence rate ratio of severe periodontal diseases was 39% higher in the NA‐SD cohort than in the comparison cohort (7.93 versus 5.69 per 1,000 person‐years), with an adjusted hazard ratio (HR) of 1.36 (95% confidence interval [CI]: 1.30 to 1.43). The effect of NA‐SD on the risk of severe periodontal diseases was higher in young and middle‐aged patients compared with patients &gt;65 years of age (&lt;35 years of age, HR: 1.13, 95% CI: 1.04 to 1.24; 35 to 49 years of age, HR: 1.73, 95% CI: 1.61 to 1.86; 50 to 64 years of age, HR: 1.69, 95% CI: 1.58 to 1.81; ≥65, HR: [reference] 1.0). Conclusion: NA‐SD might increase the risk of periodontal disease.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Case-Control Studies</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Coronary Artery Disease - epidemiology</subject><subject>Dentistry</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Failure - epidemiology</subject><subject>Humans</subject><subject>Hyperlipidemias - epidemiology</subject><subject>Hypertension - epidemiology</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>national health programs</subject><subject>non‐apnea sleep syndrome</subject><subject>periodontal disease</subject><subject>Periodontal Diseases - epidemiology</subject><subject>Renal Insufficiency, Chronic - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>sleep disorders</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Taiwan - epidemiology</subject><subject>Young Adult</subject><issn>0022-3492</issn><issn>1943-3670</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkLtu2zAUQIkiQe2knbsVHLPI5ptSN8d1XjBaw25nghKvYbmyqJBSA2_5hHxjv6RynGTNdHGBcw9wD0JfKBnRjLDx1jcjRigfUU5YKj6gIc0ET7jS5AQNCWEs4SJjA3QW47ZfqeDkIxowQWSmtBqi7oev_z0-TZoaLF5VAA3-XkYfHAR8WxcBbISI2w3gZRn_YL_GCwild75ubXVAD8A3PMFLaIOPDRRt-RfwwjddZdvyWX7ZIw5P_caHFq_azu0_odO1rSJ8fpnn6PfV7Nf0Jpn_vL6dTuZJwQWTiS4UB5nmueROS-fSjAql8pwwqbXjRVpApq3SnDlipVTciSxluRU5EC1Sws_RxdHbBH_fQWzNrowFVJWtwXfRUElpyijRrEfHR7To34gB1qYJ5c6GvaHEHFqbvrU5tDbH1v3F1xd5l-_AvfGvcXtAHIGHsoL9ez5zt5gtZ0ry_3NxjFM</recordid><startdate>201404</startdate><enddate>201404</enddate><creator>Lee, Chun‐Feng</creator><creator>Lin, Ming‐Chia</creator><creator>Lin, Cheng‐Li</creator><creator>Yen, Chia‐Ming</creator><creator>Lin, Kuan‐Yu</creator><creator>Chang, Yen‐Jung</creator><creator>Kao, Chia‐Hung</creator><general>American Academy of Periodontology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201404</creationdate><title>Non‐Apnea Sleep Disorder Increases the Risk of Periodontal Disease: A Retrospective Population‐Based Cohort Study</title><author>Lee, Chun‐Feng ; Lin, Ming‐Chia ; Lin, Cheng‐Li ; Yen, Chia‐Ming ; Lin, Kuan‐Yu ; Chang, Yen‐Jung ; Kao, Chia‐Hung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3425-7c63e58bb53d75dd891466bb02577d3c8ce97a6732d0a5563d4982ba4be074803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Case-Control Studies</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Coronary Artery Disease - epidemiology</topic><topic>Dentistry</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Failure - epidemiology</topic><topic>Humans</topic><topic>Hyperlipidemias - epidemiology</topic><topic>Hypertension - epidemiology</topic><topic>Incidence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>national health programs</topic><topic>non‐apnea sleep syndrome</topic><topic>periodontal disease</topic><topic>Periodontal Diseases - epidemiology</topic><topic>Renal Insufficiency, Chronic - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>sleep disorders</topic><topic>Sleep Wake Disorders - epidemiology</topic><topic>Taiwan - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Chun‐Feng</creatorcontrib><creatorcontrib>Lin, Ming‐Chia</creatorcontrib><creatorcontrib>Lin, Cheng‐Li</creatorcontrib><creatorcontrib>Yen, Chia‐Ming</creatorcontrib><creatorcontrib>Lin, Kuan‐Yu</creatorcontrib><creatorcontrib>Chang, Yen‐Jung</creatorcontrib><creatorcontrib>Kao, Chia‐Hung</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of periodontology (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Chun‐Feng</au><au>Lin, Ming‐Chia</au><au>Lin, Cheng‐Li</au><au>Yen, Chia‐Ming</au><au>Lin, Kuan‐Yu</au><au>Chang, Yen‐Jung</au><au>Kao, Chia‐Hung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Non‐Apnea Sleep Disorder Increases the Risk of Periodontal Disease: A Retrospective Population‐Based Cohort Study</atitle><jtitle>Journal of periodontology (1970)</jtitle><addtitle>J Periodontol</addtitle><date>2014-04</date><risdate>2014</risdate><volume>85</volume><issue>4</issue><spage>e65</spage><epage>e71</epage><pages>e65-e71</pages><issn>0022-3492</issn><eissn>1943-3670</eissn><abstract>Background: The aim of this study is to determine whether patients with a non‐apnea sleep disorder (NA‐SD) and comorbidity have an increased risk of periodontal disease. Methods: Patients newly diagnosed with NA‐SDs in 1997 to 2010 were identified as the study cohort from the Taiwan National Health Insurance database. For each patient with NA‐SD, two matched controls without sleep disorders were randomly selected for comparison. Results: The overall incidence rate ratio of severe periodontal diseases was 39% higher in the NA‐SD cohort than in the comparison cohort (7.93 versus 5.69 per 1,000 person‐years), with an adjusted hazard ratio (HR) of 1.36 (95% confidence interval [CI]: 1.30 to 1.43). The effect of NA‐SD on the risk of severe periodontal diseases was higher in young and middle‐aged patients compared with patients &gt;65 years of age (&lt;35 years of age, HR: 1.13, 95% CI: 1.04 to 1.24; 35 to 49 years of age, HR: 1.73, 95% CI: 1.61 to 1.86; 50 to 64 years of age, HR: 1.69, 95% CI: 1.58 to 1.81; ≥65, HR: [reference] 1.0). Conclusion: NA‐SD might increase the risk of periodontal disease.</abstract><cop>United States</cop><pub>American Academy of Periodontology</pub><pmid>24059676</pmid><doi>10.1902/jop.2013.130284</doi><tpages>7</tpages></addata></record>
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ispartof Journal of periodontology (1970), 2014-04, Vol.85 (4), p.e65-e71
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Case-Control Studies
Cohort Studies
Comorbidity
Coronary Artery Disease - epidemiology
Dentistry
Diabetes Mellitus - epidemiology
Female
Follow-Up Studies
Heart Failure - epidemiology
Humans
Hyperlipidemias - epidemiology
Hypertension - epidemiology
Incidence
Male
Middle Aged
national health programs
non‐apnea sleep syndrome
periodontal disease
Periodontal Diseases - epidemiology
Renal Insufficiency, Chronic - epidemiology
Retrospective Studies
Risk Factors
Sex Factors
sleep disorders
Sleep Wake Disorders - epidemiology
Taiwan - epidemiology
Young Adult
title Non‐Apnea Sleep Disorder Increases the Risk of Periodontal Disease: A Retrospective Population‐Based Cohort Study
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